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Balancing Incentive Program IT Capital Fund Request

Balancing Incentive Program IT Capital Fund Request. Department of Social Services December 10, 2014. Balancing Incentive Program IT Capital Fund Request. Background on the federal Balancing Incentive Program Expected System Components & Outcomes IT Infrastructure Phased Approach Funding.

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Balancing Incentive Program IT Capital Fund Request

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  1. Balancing Incentive Program IT Capital Fund Request Department of Social Services December 10, 2014

  2. Balancing Incentive Program IT Capital Fund Request • Background on the federal Balancing Incentive Program • Expected System Components & Outcomes • IT Infrastructure • Phased Approach • Funding

  3. Balancing Incentive Program Background • Programmatic objectives • Rebalance Medicaid long term support services towards community care • Key change requirements • Universal Assessment • No Wrong Door

  4. BIP Grant Funding Federal grant/enhanced reimbursement 2% additional federal match on Medicaid community-based services $72.8 million in additional revenue Reinvestment requirements Community First Choice Initiative Enhanced reimbursement of 6% Significant reinvestment component 4

  5. BIP System Components Online pre-screen of an applicant’s functional status Automation of functional and financial eligibility processes for Medicaid; Automation of a Universal Assessment (UA) that will be used across State agencies and contractors Online mechanism through which services can be requested from providers Consumer portal 5

  6. BIP System Outcomes Reduction of redundancy in assessing need across programs Streamlined LTSS eligibility processing Individualized budget allocations based on functional need that through standardization will enable more equitable distribution of dollars across the entire LTSS system 6

  7. BIP System Outcomes (continued) Enhanced ease and timeliness of access to LTSS services An increased incidence of hospital discharge to community-based services, as opposed to nursing home care Consumer empowerment through sharing of their health care data 7

  8. BIP System Infrastructure BIP system will initially leverage DSS existing ConneCT infrastructure Upon completion of the new ImpaCT integrated eligibility system, support for the BIP system will migrate to the ImpaCT environment Additional ongoing costs will be minimized by leveraging these systems 8

  9. BIP Phased Approach Current request is for Phase 1 only Includes: Universal Assessment (Release 1) Initial Release 2 design development Future Phase 2 No Wrong Door Client access/consumer portal 9

  10. BIP System Funding For the majority of components federal match available at the 90% level (89%) 11% State contribution is requested through IT Capital Fund Federal approval of an Advance Planning Document required for federal contribution Initial APD submitted and approved for approximately $15 million 10

  11. BIP System Funding Phase 1 Budget $10.4 m in total excluding salary and fringe $1.1 million request from IT Capital Fund for the 11% State share of the project Future request anticipated for Phase 2 Current estimated Phase 2 costs are approximately $15 million IT Capital Fund contribution of close to $1.5 million 11

  12. BIP System Funding 12

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